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| Network Matters |
News and Information for the
Harvard Pilgrim Health Care Network |
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June 2017
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Highlights
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Changes to Sleep Diagnostic and Sleep Therapy Program
Harvard Pilgrim is updating our sleep studies and sleep therapies authorization program.
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Review of Inpatient Admissions for Appropriate Level of Care
As you know, Harvard Pilgrim requires notification for all emergent and non-emergent inpatient admissions.
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Reminder: Concurrent Review for Inpatient Stays
As a reminder, Harvard Pilgrim applies a concurrent review program for inpatient admissions to acute care hospitals, acute rehabilitation and long-term acute care hospitals, and skilled nursing facilities to ensure that our members receive evidence-based, well-coordinated, and cost effective health care.
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Reminder: Expanded Medical Drug Prior Authorization Program
As we announced in last month’s issue of Network Matters, beginning July 14, 2017, prior authorizations for select medical drugs for our commercial members will be required through CVS Health–NovoLogix.
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Change in Format of Newly Assigned Practitioner and Provider ID Numbers
Beginning in late July, Harvard Pilgrim will be modifying the format of all newly assigned practitioner and provider identification numbers.
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